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CriticalCareMD
เข้าร่วมเมื่อ 30 ม.ค. 2024
UPDATES IN PULMONARY AND CRITICAL CARE MEDICINE FOR 2025
In this video, I will discuss some important articles that were published in 2024 and are pertinent to the practice of pulmonary and critical care medicine.
Further information about the articles discussed can be found by entering the pubmed ID (PMID) shown in the video in the search box of the following website:
pubmed.ncbi.nlm.nih.gov/
I have also decided to post the links to the articles discussed in the video below:
CRITICAL CARE UPDATES:
ATS Update on ARDS:
pmc.ncbi.nlm.nih.gov/articles/PMC10870893/#:~:text=We%20suggest%20using%20corticosteroids%20for,%2C%20moderate%20certainty%20of%20evidence).&text=We%20suggest%20using%20venovenous%20extracorporeal,%2C%20low%20certainty%20of%20evidence).
SCCM Update on steroids:
journals.lww.com/ccmjournal/fulltext/2024/05000/2024_focused_update__guidelines_on_use_of.23.aspx#T3
Review on steroids for pulmonary infections:
pubmed.ncbi.nlm.nih.gov/38865154/
NIV settings for COPD:
jamanetwork.com/journals/jama/fullarticle/2823763
NIV vs facemask for preoxygenation:
pubmed.ncbi.nlm.nih.gov/38869091/
VL vs DL
journals.lww.com/ccmjournal/abstract/2024/11000/direct_laryngoscopy_versus_video_laryngoscopy_for.2.aspx
D blade for difficult intubations:
journals.lww.com/ccmjournal/abstract/2024/11000/direct_laryngoscopy_versus_video_laryngoscopy_for.2.aspx
Bougie meta-analysis and systematic review
www.annemergmed.com/article/S0196-0644(23)01141-1/fulltext
Frequency and method of SBT:
jamanetwork.com/journals/jama/article-abstract/2824928
pubmed.ncbi.nlm.nih.gov/38393729
Continuous infusions of Beta lactams:
jamanetwork.com/journals/jama/fullarticle/2819970
7 day vs 14 day treatment for bacteremic patients:
jamanetwork.com/journals/jama/fullarticle/2819970
Nutrition strategy for critically ill:
www.clinicalkey.com/#!/content/playContent/1-s2.0-S0140673624013047?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0140673624013047%3Fshowall%3Dtrue&referrer=https:%2F%2Fpubmed.ncbi.nlm.nih.gov%2F
linkinghub.elsevier.com/retrieve/pii/S0140-6736(22)02469-2
Transfusion strategy in NeuroICU:
www.nejm.org/doi/10.1056/NEJMoa2404360?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
jamanetwork.com/journals/jama/fullarticle/2824930
Mechanical thrombectomy for large strokes:
www.nejm.org/doi/full/10.1056/NEJMoa2314063#&uccLastUpdatedDate=2024-12-12%2005%3A47%3A19.795%20%2B0000&rememberMe=true
Impella risks and benefits:
www.nejm.org/doi/full/10.1056/NEJMoa2312572?logout=true
PULMONARY UPDATES:
Asthma:
pubmed.ncbi.nlm.nih.gov/39465893/
Home O2:
pubmed.ncbi.nlm.nih.gov/39254466/
Dupilumab for COPD exacerbations:
pubmed.ncbi.nlm.nih.gov/38767614/
Persistent air leak:
pubmed.ncbi.nlm.nih.gov/38806203/
pubmed.ncbi.nlm.nih.gov/38870914/
Peripheral pulmonary nodules:
pmc.ncbi.nlm.nih.gov/articles/PMC11409058/
CPAP for OSA in pregnancy:
pmc.ncbi.nlm.nih.gov/articles/PMC11322849
Further information about the articles discussed can be found by entering the pubmed ID (PMID) shown in the video in the search box of the following website:
pubmed.ncbi.nlm.nih.gov/
I have also decided to post the links to the articles discussed in the video below:
CRITICAL CARE UPDATES:
ATS Update on ARDS:
pmc.ncbi.nlm.nih.gov/articles/PMC10870893/#:~:text=We%20suggest%20using%20corticosteroids%20for,%2C%20moderate%20certainty%20of%20evidence).&text=We%20suggest%20using%20venovenous%20extracorporeal,%2C%20low%20certainty%20of%20evidence).
SCCM Update on steroids:
journals.lww.com/ccmjournal/fulltext/2024/05000/2024_focused_update__guidelines_on_use_of.23.aspx#T3
Review on steroids for pulmonary infections:
pubmed.ncbi.nlm.nih.gov/38865154/
NIV settings for COPD:
jamanetwork.com/journals/jama/fullarticle/2823763
NIV vs facemask for preoxygenation:
pubmed.ncbi.nlm.nih.gov/38869091/
VL vs DL
journals.lww.com/ccmjournal/abstract/2024/11000/direct_laryngoscopy_versus_video_laryngoscopy_for.2.aspx
D blade for difficult intubations:
journals.lww.com/ccmjournal/abstract/2024/11000/direct_laryngoscopy_versus_video_laryngoscopy_for.2.aspx
Bougie meta-analysis and systematic review
www.annemergmed.com/article/S0196-0644(23)01141-1/fulltext
Frequency and method of SBT:
jamanetwork.com/journals/jama/article-abstract/2824928
pubmed.ncbi.nlm.nih.gov/38393729
Continuous infusions of Beta lactams:
jamanetwork.com/journals/jama/fullarticle/2819970
7 day vs 14 day treatment for bacteremic patients:
jamanetwork.com/journals/jama/fullarticle/2819970
Nutrition strategy for critically ill:
www.clinicalkey.com/#!/content/playContent/1-s2.0-S0140673624013047?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0140673624013047%3Fshowall%3Dtrue&referrer=https:%2F%2Fpubmed.ncbi.nlm.nih.gov%2F
linkinghub.elsevier.com/retrieve/pii/S0140-6736(22)02469-2
Transfusion strategy in NeuroICU:
www.nejm.org/doi/10.1056/NEJMoa2404360?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
jamanetwork.com/journals/jama/fullarticle/2824930
Mechanical thrombectomy for large strokes:
www.nejm.org/doi/full/10.1056/NEJMoa2314063#&uccLastUpdatedDate=2024-12-12%2005%3A47%3A19.795%20%2B0000&rememberMe=true
Impella risks and benefits:
www.nejm.org/doi/full/10.1056/NEJMoa2312572?logout=true
PULMONARY UPDATES:
Asthma:
pubmed.ncbi.nlm.nih.gov/39465893/
Home O2:
pubmed.ncbi.nlm.nih.gov/39254466/
Dupilumab for COPD exacerbations:
pubmed.ncbi.nlm.nih.gov/38767614/
Persistent air leak:
pubmed.ncbi.nlm.nih.gov/38806203/
pubmed.ncbi.nlm.nih.gov/38870914/
Peripheral pulmonary nodules:
pmc.ncbi.nlm.nih.gov/articles/PMC11409058/
CPAP for OSA in pregnancy:
pmc.ncbi.nlm.nih.gov/articles/PMC11322849
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Excellent presentation! Thanks so much. Perhaps a discussion about complications of COPD in the elderly?
More than excellent A true expert Many thanks
Thank you for the kind response..
V good for first time learner
Thank you :)
Pls make a video on assessment of PA pressure
Thank you for the response. I will add PA pressure and waveform analysis to the list of topics for future. In the meanwhile, may I suggest this 'playlist' on PA catheters from a well respected critical care channel: th-cam.com/video/1LMdwZIPw_8/w-d-xo.html
Excellent video for critical care practitioner. Way of talking and and explanation is very simple to understand. Please make more videos. You are a great teacher, thanks a lot.
Thank you for the kind response. More videos will be coming soon.
Well done! So only one minor comment…your example of barcode sign 18:10 actually has a lung pulse in it which suggests contact of the visceral lung surface with the chest wall.
Keen observation and excellent point!
I am currently recovering from septic shock. It appears it began in my colon and landed me in kidney failure on a respirator. Deadly disease i had rarely heard of.
It is a serious condition for sure. Sorry to hear about your illness. I am glad to read that you are recovering. Good luck with your healing journey.
very informative great job ,wondreful
Thank you..
How. Do. You. Get. It
Loads of ways. Anyway bacteria can enter the bloodstream. Could be from a open wound, UTI, invasive lines (PIV/ArtL/MML/EVD/Foley/etc), translocation of gut bacteria, pneumonia, and many other ways.
Agreed. Also, droplet, airborne, direct contact with mucosal surfaces, fomites, etc., are among the common routes of spread of infection.
Thank you, sir. It was a very useful video among the other videos I saw related to echo . Please make the next video on acute liver failure.
I will add acute liver failure to the list of topics for future. Thank you for the response. Good luck!
❤️
😊 informative and useful video.
Thank you :)
❤❤❤❤
I had sepsis 7 years ago caused by a kidney stone which blocked the ureter therefore urine backed up into my blood causing sepsis then a heart attack I was in intensive care for 4 days almost died GOD has other plans for me recovering took months.
I’m sorry to hear about your experience with sepsis. It must have been a really challenging time, and I’m glad to hear that you were able to recover.
My medical pet peeve: why is amnesia considered such a great property for a drug to have. Is it universally accepted in the medical field that if and that can be a big if, a patient doesn’t remember a painful experience that makes it acceptable? To an extreme, would everyone except being tortured and experiencing all the pain involved as long as you remember it later on? Just my medical rant of the day.
Analgesia and anxiolysis are the most desirable properties of a drug in this context. Amnesia is considered an added advantage in certain settings, as generally patients don't want to remember unpleasant experiences. But in ICU we almost never pick a drug just based on amnestic property.
🎉😊 Nice and depth systematic scientific analysis and explanation.
Thank you.. :)
Excellent explanation 👌 Shashi.
Thank you Karthik.. :)